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Extendicare Homes, Inc.
Skilled Nursing Facility in Pembroke, Kentucky
NPI 1417021098

Extendicare Homes, Inc. is a Skilled Nursing Facility based in Milwaukee, KY. Extendicare Homes, Inc. practices in Pembroke, KY. The NPI Number for Extendicare Homes, Inc. is 1417021098 and holds a License No. (Kentucky).

The current practice location address for Extendicare Homes, Inc. is 124 W Nashville St, Pembroke, KY and can be reached out via phone at 270-475-4227 and via fax at 270-475-4173.

Location: 124 W Nashville St, Pembroke, KY, 53203-2903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417021098
Provider Name
Extendicare Homes, Inc.
Credential
Provider Entity Type
Organization
Address
124 W Nashville St, Pembroke, KY, 53203-2903
Phone Number
270-475-4227
Fax Number
270-475-4173
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12504809 05 KY
12500880 05 KY
institution
Provider Business Practice Location Address Details
Address
124 W Nashville St
City
Pembroke
State
Kentucky
Zip
42266-9763
Phone Number
270-475-4227
Fax Number
270-475-4173
person
Provider Business Mailing Address Details
Address
124 W Nashville St
City
Pembroke
State
Kentucky
Zip
42266-9763
Phone Number
270-475-4227
Fax Number
270-475-4173
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
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Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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